Shingles

Description

Shingles or called as herpes zoster. Herpes zosteris a contagious type of disease that involves the peripheral nervous system as caused by reactivation of the varicella-zoster virus. This disease is characterized with blisters which as very painful. The immunosuppressed or had previous exposure with chicken pox can experience this.
The virus’ action can travel to spinal and cranial sensory ganglia and the posterior gray matter of the spinal cord. Upon contact with the blisters, the person who did not experience chicken pox will develop chicken pox instead of shingles.

People can be diagnosed with shingles after careful physical assessment. Laboratory studies may also reveal an increase in white blood cells as the body tries to combat this viral infection.

Clinical manifestations

Neurologic pain described as painful, tingling or burning sensation

Body weakness

Burning sensation of the blister sites

Febrile episodes

Skin vesicles along the peripheral sensory nerves, the blisters actually outline the nerves

Classic location: along the trunk, thorax or face

Lack of appetite

Lymphadenopathy

Joint pains

Chills

Patient profile

Previous exposure with chicken pox

Commonly appeared on age group of older than 60 years old

Those whose immune system is weakened due to underlying illness or medications

Pregnant women should not go near the person with shingles as it may be infectious.

Give antihistamines in order to prevent itching.

Nursing Management

Monitor the vital signs.

Observe proper measures in containing the infectious agent.

Observe proper personal protective gear as well as routine hand washing before and after the procedures.

Encourage complete compliance with the medications being ordered.

Teach the patient as well as the folks about proper disposal of materials which are in contact with the patient.

Listen to the ideas and perception of the patient about being isolated, the prognosis as well as recovery from the present status.

Teach the patient about the possibility of having post herpetic neuralgia or pain on the sites of shingleswhich may be present for months or even years. Proper medications can be given in order to lessen the pain.